Herefordshire’s Family Outcomes Framework Family First Criteria and Outcomes for CAF Identifying and working with families Parents and children involved in crime and antisocial behaviour Children who have not been attending school regularly Children who need help Adults out of work or at risk of financial exclusion, and young people at risk of worklessness Families affected by domestic violence and abuse Parents and children with a range of health problems Families will be identified by a number of means across the 6 main headline areas above – through information sharing of data sets with partners or through nominations or referrals from individual professionals. This is detailed below giving the data sources for identifying issues in families. Herefordshire’s early help approach is currently being developed as part of the priorities within the new Children and Young People’s Plan, but it is expected that an early help intelligence function will be established that will triangulate intelligence from partners to understand the issues within the family. Where the family is not already assessed and / or receiving support then their situation would be risk assessed to be able to prioritise families for assessment and support where appropriate. Practitioner’s working with families should undertake a well conducted family assessment, working with all family members to identify the issues that need to be addressed. This will form the basis of an holistic family outcomes plan which will address the issues and what outcomes the family is aiming to achieve. This in turn facilitates the actions to achieve those outcomes in a well-coordinated and effective approach using evidence based techniques and practices. At least 2 of the main headline areas above need to be present in the family. Practitioners will need to work with families to agree their outcomes, including outcomes from the appropriate sections of the outcome plan below, and write them in to the CAF family action/outcome plan. If an additional issue arises, or becomes apparent, during the course of any support intervention with a family, an outcome must also be achieved for those problems to demonstrate the family has achieved significant and sustained progress. Completing the CAF -Things to consider All forms can be completed electronically, however, the consent part will need to be ticked and signed by hand. Unsigned CAF forms will not be accepted. All forms integrate Families First identification information. Recorded outcomes should reflect those that are recommended in the Families First Framework. The Core outcomes should be listed against the relevant criteria using the Families First terminology. There is a Families First Support tool to use alongside the CAF and practitioners may cut and paste relevant outcomes onto the CAF form. Any additional outcomes that are specific to that young person or family may be recorded as usual. All forms contain a well-being scale. This is an easy to see measurement of where the family or young person thinks they are at the start of the CAF process, during the support and finally, where they are when the CAF closes. There is a box to measure the needs against the Herefordshire levels of need at each stage. This will help inform you if a referral to MASH is required. The CAF form can be submitted along with the MASH referral form(MARF) to save you having to repeat all the information again. However, it is not a single assessment and therefore cannot replace the MARF, so the relevant sections of the CAF should be copied onto the MARF too. If there are no particular needs to record in a section of the CAF you can tick the ‘no concern’ box and move on. However, it may good to record the positives! Please send all forms via Anycomms+ please, if possible. When the forms are received the CAF team will: Log them on the registry Forward the information onto the FF team to register if appropriate. Forward onto Homestart, if there is an action to do so (no need to complete another Homestart referral form) Add to MAG agenda if appropriate Monitor the progress through the support plans/MAG When the closure form is received the CAF team will: Close the CAF on the registry Record the outcomes against the FF criteria and forward to the FF team for verification. 1. Parents and children involved in crime and anti-social behaviour a. To reduce the number of first time entrants to the youth justice system b. To reduce the level of police call outs c. To reduce the percentage of offenders who re-offend Indicators - what issues could be present in a family Individual family outcomes: Measured by: A child who has committed a proven offence in the previous 12 months. An adult or child who has received an anti-social behaviour intervention (or equivalent local measure) in the last 12 months. An adult prisoner who is less than 12 months from his/her release date and will have parenting responsibilities on release. An adult who is currently subject to a licence or supervision in the community, following release from prison, and has parenting responsibilities. An adult currently serving a community order or suspended sentence, who has parenting responsibilities. Adults or children referred by professionals because their potential crime problem or offending behaviour is of equivalent concern to the indicators above. For example: - racial and hate crime incidences - repeat police call outs to the same address/location over a 6 month period - incidences of sexual violence - incidences of noise nuisance, fly tipping There is a 50% reduction compared to the previous 6 months in the number of recorded offences committed by the family Recorded offences by police There is a 60% reduction compared to the previous 6 months in the number of incidences of anti-social behaviour committed by the family No siblings of young offenders have engaged in anti-social behaviour and / or criminal activity in the previous 6 months, and do not enter the youth justice system for the first time. Recorded incidents of anti-social behaviour from police, youth offending service, housing providers, environmental health teams CAF - LP’s info obtained and outcome recorded on action plan. Verified by the Family First team. 2. Children who have not been attending school regularly a. To reduce the number of children and young people with permanent and fixed exclusions at school b. To increase the % of 16-18 year olds who are in education, employment or training Indicators - what issues could be present in a family Individual family outcomes: Measured by: A child who is persistently absent from school for an average across the last 3 consecutive terms. A child who has received at least 3 fixed term exclusions in the last 3 consecutive school terms; or a child at primary school who has had at least 5 school days of fixed term exclusion in the last 3 consecutive terms; or a child of any age who has had at least 10 days of fixed term exclusion in the last 3 consecutive terms. A child who is in alternative educational provision for children with behavioural problems. A child who has been permanently excluded from school within the last 3 school terms. A child who is neither registered with a school, nor being educated in an alternative setting A child nominated by education professionals as having school attendance problems of equivalent concern to the indicators above because he/she is not receiving a suitable full time education. All school age children in the family have attended school at least 90% of possible sessions across the last three school terms Schools census and school attendance data All school age children in the family have fewer than three fixed term exclusions within the last three school terms. CAF- LP’s info and outcome data recorded on action plan. 3. Children who need help a. b. To reduce the number of children and young people needing to be looked after c. To increase from 60% to 80% the proportion of all children achieving a Good Level of Development at the end of the Early Years Foundation Stage d. To maintain the number of children subject to child protection in line with statistical neighbours Indicators - what issues could be present in a family Individual family outcomes: Measured by: A child who has been identified as needing early help A child who has been assessed as needing early help. A child ‘in need’ under Section 17, Children Act 1989. A child who has been subject to an enquiry under Section 47, Children Act 1989. A child subject to a Child Protection Plan. Families who are eligible are taking up the 2 and 3 year old offer of nursery places and attended 85% of their sessions in the last 6 months Early years take up figures A child on a CAF plan due to: A child nominated by professionals as having problems of equivalent concern to the indicators above. For example: -children experiencing / at risk of poor parenting -children with developmental delay - children at risk of exploitation (including sexual exploitation) - children identified as not achieving expected levels of attainment in school - children with challenging behaviour - teenage parents - young looked after mother / father who have already had children removed - young carers There is an appropriate de-escalation or step-down of a safeguarding plan – i.e. from child protection (CP) to children in need (CIN) to Common Assessment Framework (CAF) and there is no re-referral to social care after 6 months following the end of the plan Children in the family assessed as “children in need” are closed to social care and there are no referrals made to MASH for at least 6 months. Children in the family are making good progress at school or a good/expected level of development in Early Years Six months after an intervention, parents report improved confidence and competence in parenting Six months after an intervention, the family continue to take part in a wider range of community activity Social care FWI records - Children’s Wellbeing Directorate, Herefordshire Council Early Years Foundation Stage Profile Annual Results or 2 Year Assessment Results and Integrated Reviews Teachers reports/assessments. Family / health worker case notes /assessment Parents assessment/Practitioner case notes . Examples could include library membership, joining sport/leisure groups or involvement in specific activities CAF - LP’s info obtained and outcome recorded on action plan. 4. Adults out of work or at risk of financial exclusion, and young people at risk of worklessness a. b. To reduce the number of people reliant on out of work benefits c. To increase the % of 16-18 year olds who are in education, employment or training * d. To reduce the % of children in low-income families e. To increase the number of employers across the county paying the living wage / average wage Indicators - what issues could be present in a family An adult in receipt of out of work benefits or An adult who is claiming Universal Credit and subject to work related conditions. A child who is about to leave school, has no/ few qualifications and no planned education, training or employment. A young person who is not in education, training or employment. Parents and families nominated by professionals as being at significant risk of financial exclusion. This may include those with problematic / unmanageable levels and forms of debt and those with significant rent arrears. Could also include, for example: - families with housing difficulties e.g. overcrowding, under notice of eviction or homeless - repeat attendance at food banks Individual family outcomes: An adult or young person in the family has secured and maintained a job (full or part time) for 6 months (individuals claiming JSA) and 3 months (individuals claiming ESA) An adult or young person in the family have made progress to work through volunteering placement, progression into an apprenticeship, traineeship or further accredited learning An adult or young person in the family has completed and achieved a qualification, apprenticeship or achieved other milestones that supports progression into continuous paid work Family have reduced debt or risk of financial exclusion, e.g. reduced council tax or housing arrears and are accessing eligible benefits including free school meals * Public Health Outcomes Framework Measured by: Individual no longer claiming out of work benefits, evidenced through DWP automated benefits check; young person not registered as NEET Practitioner records Family outcome plan CAF - LP’s info obtained and outcome recorded on action plan. Verified by family First team 5. Families affected by domestic violence and abuse a. To increase reporting of domestic violence and abuse into formal reporting routines Indicators - what issues could be present in a family Individual family outcomes: Measured by: A young person or adult known to local services has experienced, is currently experiencing or at risk of experiencing domestic violence or abuse. A young person or adult who is known to local services as having perpetrated an incident of domestic violence or abuse in the last 12 months. The household or family member has been subject to a police call out for at least one domestic incident in the last 12 months. There is a reduction in domestic violence or abuse within the family for at least 6 months. Family worker case notes; local risk assessment tools Families that are affected by domestic violence and abuse are actively engaged with support services, such as WMWA. Perpetrator of domestic abuse is actively engaged and successfully completes a perpetrator program Recorded police callouts to domestic incidences No reports of incidences from other agencies CAF- LP’s info obtained. Outcomes recorded on action plan. 6. Parents and children with a range of health problems a. b. c. d. e. To reduce the prevalence of dental decay at age 5 so that the mean is equal or better than the England mean* To increase to 95% the take up for all routine immunisations in 0-5 year olds* To reduce hospital admissions for unintentional and deliberate injuries in 0-4 year olds from 25th percentile to between 25th – 75th percentile* To reduce the proportion of pregnant women who are smokers at the time of delivery to above the 75th percentile for England* To reduce the prevalence of young people smoking, drinking and misusing substances Indicators - what issues could be present in a family Individual family outcomes: Measured by: An adult with mental health problems who has parenting responsibilities or Family is registered with local GP Family/health worker case notes / assessment or GP practice confirmation. A child with mental health problems. An adult with drug or alcohol problems who has parenting responsibilities, or A child with a drug or alcohol problem. A new mother who has a mental health or substance misuse problem and other health factors associated with poor parenting. This could include mothers who are receiving a Universal Partnership Plus service or participating in a Family Nurse Partnership Adults with parenting responsibilities or children who are nominated by health professionals as having any mental and physical health problems of equivalent concern to the indicators above. This may include unhealthy behaviours, resulting in problems like obesity, malnutrition or diabetes. Other examples could include: - children repeatedly not attending medical appointments - individuals identified as attending A&E repeatedly over a sustained period * Public Health Outcomes Framework Family is registered with local dentist and attended a check-up in the last 12 months. Children have received age appropriate health immunisations / vaccinations Family member has engaged with a smoking cessation programme and is demonstrating progress towards cessation (shown by progress over the previous 6 months) Family member has engaged with a drug / alcohol treatment programme and is demonstrating progress towards reducing harmful behaviour (shown by progress over the previous 6 months). Family member has engaged with a healthy weight programme and is demonstrating progress towards a healthy lifestyle (shown by progress over the previous 6 month period) Pregnant women are under the care of a midwife and have had an antenatal assessment by a Health Visitor All children aged 2½ years have had an age/stage health assessment. Family outcome plan CAF LP’s info obtained and outcomes recorded on action plan.